Primarily a clinical diagnosis based on typical symptoms responsive to acid suppression therapy. Mandatory Workup:
Contraindications or deviations from the standard diagnostic pathway, if any, along with an explanatory medical justification. sop for diagnosis of top 20 common diseases updated
Sputum culture and gram stain, plus blood cultures for hospitalized patients. Primarily a clinical diagnosis based on typical symptoms
Often asymptomatic in stages 1–3. Advanced stages present with uremic symptoms (fatigue, anorexia, nausea, pruritus, peripheral edema, asterixis). asterixis). Demonstration of gallstones
Demonstration of gallstones, acoustic shadowing, gallbladder wall thickening ( >4is greater than 4
Chest X-ray (PA and Lateral) to exclude alternative diagnoses (e.g., heart failure, malignancy).